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A client has eaten strawberries and is experiencing anaphylactic reaction.  An epinephrine injection has been given.  Which of the following assessment findings best indicates that the medication is effective?      

You are planning the care for a patient/client with a new tracheostomy.  Which of the following are potential complications of the tracheotomy for the   client?                           SELECT ALL THAT APPLY          Absence of secretions        Aspiration        Infection        Increased anterior/posterior chest diameter        Injury to laryngeal nerve                                  

When evaluating the arterial blood gases (ABG’s) of a client with a 15 year history of    COPD/Emphysema, which of these Arterial Blood Gas results are primarily characteristic of   the client with COPD/Emphysema?    

The nurse is reviewing the medical history of a client who is about to receive therapy with etanercept.  Which conditions, if present would be  a contraindication or caution for therapy with etanercept? Select All That Apply 1.  Psoriasis 2.  Urinary Tract Infections 3.  A person with Congestive Heart Failure 4.  A person receiving a corticosteroid 5.  A person with a Latex Allergy

The nurse is completing a focused assessment addressing a patient’s immune function.  What should the nurse prioritize in the physical assessment?    

The nurse is assessing a client with hypoxemia of unknown cause.  Which of the following assessment findings directly relate to the perfusion of oxygen and presence of circulating oxygen in the body? Select All That Apply 1.  PaO2 of 88mmHg 2.  B.P.  120/80 3.  Hemoglobin of 13.0 g/dL 4.  SpO2  97% 5.  NA  140 mEq/L

The nurse is teaching a patient/client about the inhaler:   Combination med salmeterol/fluticasone.    Which statements by the patient indicate a correct understanding of this medication?  SELECT ALL THAT APPLY         “I will be sure to rinse my mouth with water after each dose.”         “I need to use this inhaler whenever I feel short of breath.”         “This medication is taken twice every day, every 12 hours.”                 “I can take this inhaler if I get short of breath while exercising.”          “I will call my healthcare provider if I notice white patches inside my mouth.”

 Which nursing intervention is the highest priority during the first twenty-four (24)  hours postoperatively for the client who had a total laryngectomy due to cancer of the larynx?                                            

A client reports that he has received the Bacilli- Calmette- Guerin (BCG) vaccination.  Which of the following is the best method to determine the client’s  tuberculosis (TB) status?              

The nurse observes a constant bubbling in the water-seal column of a water-seal chest drainage system.   The nurse’s best priority intervention would be to: